NPIMap

Individual provider Active NPI

Mark H. Davino, MD

  • Internal Medicine Physician
  • Odenton, MD
National Provider Identifier
1508980459
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D67558 Issued in MD
Practice address
1106 Annapolis Rd
Suite 310
Odenton, MD 21113-1647
Phone
(410) 874-1400
Fax
(410) 874-1411
NPI assigned
Mar 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D67558 MD Primary

Addresses

Primary practice location

1106 Annapolis Rd
Suite 310
Odenton, MD 21113-1647

Mailing address

1106 Annapolis Rd
Suite 310
Odenton, MD 21113-1637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081023000254 MD Practitioner - Internal MedicinePractitioner - Pediatric Medicine 2264590066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Maryland School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Johns Hopkins Community Physicians, IncGroup PAC ID 8325943707, 764 clinicians

Practice addresses (Care Compare)

1000 E Eager St
E Baltimore Med Ctr
Baltimore, MD 21202-5533
Phone (410) 522-9800

1106 Annapolis Rd
Suite 310
Odenton, MD 21113-1744
Phone (410) 874-1400

Hospital & facility affiliations

  • The Johns Hopkins Home Health Services, Inc Home health agency, Baltimore, MD, CCN 217081
  • Bayada Home Health Care, Inc. Home health agency, Towson, MD, CCN 217101
  • Amedisys Home Health of Maryland Home health agency, Glen Burnie, MD, CCN 217108
  • Hospice of the Chesapeake, Inc. Hospice, Pasadena, MD, CCN 211509
  • Johns Hopkins Hospital, the Hospital, Baltimore, MD, CCN 210009

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins Community Physicians Internal Medicine CurrentSince Aug 18, 2008 Accepting new patients
Johns Hopkins Community Physicians, Inc Internal Medicine CurrentSince Aug 18, 2008 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Johns Hopkins Community Physicians, Inc Past Accepting new patients

Locations

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

9910 Franklin Square Dr
#2110
Nottingham, MD 21236
Phone (410) 933-5412

1106 Annapolis Rd
Ste 310
Odenton, MD 21113
Phone (410) 874-1417

Interoperability endpoints

  • Direct secure messaging: mark.davinomd.p2@direct.msmg.nextgenshare.com
  • Direct secure messaging: mdavino6909@direct.hopkinsmedicine.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1508980459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 ANNAPOLIS RD",
            "address_2": "SUITE 310",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 ANNAPOLIS RD",
            "address_2": "SUITE 310",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131647",
            "telephone_number": "410-874-1400",
            "fax_number": "410-874-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVINO",
        "first_name": "MARK",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-18",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D67558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odenton, MD

Sources for this page

Verify at the official NPI Registry.